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SAN J 0 A Q I I I Irl Environmental Health Department <br /> CCUNr <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> JACK IN THE BOX#4303 1310 E YOSEMITE AVE, MANTECA February 19, 2021 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 9 HSC 25508.2 Failed to annually review and certify that the HMBP is complete and accurate by the due date. <br /> OBSERVATION: The business plan information has not been reviewed and resubmitted in the California <br /> Environmental Reporting System (CERS)annually by the due date, January 15.The calendar year 2021 submittal <br /> entered on 2/13/2021 was submitted late. The calendar year 2019 submittal entered on 2/28/2019 was late.There <br /> was no calendar year 2020 submittal entered into CERS. <br /> REGULATION GUIDANCE: The hazardous materials inventory shall be submitted by January 15 of each calendar <br /> year and may be submitted beginning November 1 of the previous year. <br /> CORRECTIVE ACTION: Immediately log into the CERS at http://cers.calepa.ca.gov/, enter the correct or updated <br /> information, and submit to the EHD for approval. <br /> This is a Class II violation. <br /> Overall Inspection Comments: <br /> Conducted in-office Hazardous Materials Business Plans (HMBP) inspection. The food inspector, Gehane <br /> Fahmy, performed an on-site inspection for the CO2 tank on 12/15/2020. <br /> There were 4 violations during the in-office inspection. One of four violation is a repeated. Complete and submit <br /> a copy of the Return to Compliance Certification form to the EHD with a statement documenting the corrective <br /> actions that have been or will be taken for each violation, and any supporting paperwork, by 3/19/2021. <br /> Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate ($152). To schedule an <br /> appointment, please call (209)468-3420. <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br /> THIS FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Date: February 19, 2021 Inspector: Inspector Phone: <br /> Printed Name and Title: KRISTINA SAETERN, EHS Trainee (209)616-3045 <br /> Emailed to Pardeep Singh., District Manager <br /> FA0012804 PR0521003 SCO01 02/19/2021 <br /> EHD 19-01 Rev.9/16/2020 Page 3 of 3 Hazardous Materials Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />